greetings from healthcaremagic.com
I am Dr Sourav Chakraborty and i will be helping you with your query.
I have gone through your case scenario in details and the elevated levels of troponin done twice worries you , so i will elaborate few details for you .
Troponin T or I are sensitive cardiac muscle
damage markers we do see frequently in myocardial infarction
, however increase levels of troponin is also seen in various conditions like infection, hypotension
, anemia, micro circulatory disturbances, hypoxemia.
There are local and circulatory interleukins , reactive oxygen species
, bacterial endo toxins which can also cause elevation in troponin.
In pregnancy there is alteration of body physiology due to increase in demands and some times liver enzymes are altered , protein synthesis get deranged and troponin can show elevated levels.
In case you are asymptomatic and base line ECG and Echocardiogram
shows normal function , you can continue with your pregnancy and keep a watchful eye. Also keep your hemoglobin levels under scanner as anemia needs prompt care.
Hope i have been able to help you. Take care